| NPI | 1477543544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 45424) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-105056) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2024-07-15 |